Individual
ELIZABETH JEANNE IGOE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
3024 E EMPIRE ST STE A, BLOOMINGTON, IL 61704-5402
(309) 556-7800
(309) 556-7804
Mailing address
611 W. PARK ST, FAPC, URBANA, IL 61801
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
209009513
IL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
209009513
IL
Other
Enumeration date
04/26/2012
Last updated
11/12/2024
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